National Provider Identifier [NPI]: |
1295803302 |
Last Name Of The Provider |
BARROWS |
First Name Of The Provider |
SUSAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6297 N FRESNO ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937105209 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
187 |
Number Of Services |
8675 |
Number Of Medicare Beneficiaries |
2883 |
Total Submitted Charge Amount |
799417.4 |
Total Medicare Allowed Amount |
212129.43 |
Total Medicare Payment Amount |
171659.7 |
Total Medicare Standardized Payment Amount |
166372.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
4280 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
4673 |
Total Drug Medicare AllowedAmount |
1101.41 |
Total Drug Medicare PaymentAmount |
860.39 |
Total Drug Medicare Standardized Payment Amount |
860.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
179 |
Number Of Medical Services |
4395 |
Number Of Medicare Beneficiaries With Medical Services |
2883 |
Total Medical Submitted Charge Amount |
794744.4 |
Total Medical Medicare Allowed Amount |
211028.02 |
Total Medical Medicare Payment Amount |
170799.31 |
Total Medical Medicare Standardized Payment Amount |
165512.05 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
520 |
Number Of Beneficiaries Age 65 to 74 |
1148 |
Number Of Beneficiaries Age 75 to 84 |
791 |
Number Of Beneficiaries Age Greater 84 |
424 |
Number Of Female Beneficiaries |
1971 |
Number Of Male Beneficiaries |
912 |
Number Of Non Hispanic White Beneficiaries |
1673 |
Number Of Black or African American Beneficiaries |
174 |
Number Of AsianPacific Islander Beneficiaries |
221 |
Number Of Hispanic Beneficiaries |
765 |
Number Of American Indian Alaska Native Beneficiaries |
28 |
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1624 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1259 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.79 |